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TEXAS g9EPARTMENT OF HOLTSING kN'D CO1VIAILTNITY AFFAIR5 <br />RpME CON'I'RAC'I' # 1000930 <br />EXHIBIT C <br />CERTIFICATION I2EGARDING LOBBYLIVG FOR <br />CONTRACTS, GRAN'I'S, LOANS, AND COOl'ERA'I'IVE AGREEl!'IEN'I'S <br />CITY OF PARIS, <br />A POLI'I'ICAL SUBDIVISION OF THE STATE OF TEXAS, <br />The undersigned certifies, to the best of its knowledge and belief, that: <br />No federal appropriated funds have been paid or will be paid, by or on behalf of the <br />undersigned, to any person for influencing or att~ emti ti f congress~orffican employee of a <br />an agency, a member of congress, an officer oployee o <br />member of congress in connection with the awarding of any federal contract, the making of any <br />federal grant, the making of any federal loan, the entering into of any cooperative agreement, or <br />modification of any federal contract, grant, loan, or cooperative agreement. <br />2. If any funds other than federal appropriated funds have been paid or will be paid to- any person <br />for influencing or attempting to influence an officer or employee of any agency, a member of <br />congress, an officer or emPloYee of congress, or an employee of a member of congress in _ <br />connecfiori witTi tliis -federal con racf gr nl, loan,-or coopera~ive agreemeri~~t~e unctersigne~r <br />shall complete and submit standard form -LLL, "Disclosure Form to Report Lobbying", in <br />accordance with its instructions. <br />3. The undersigned shall require that the language of this certification be included in the award <br />documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under <br />grants, loans, and cooperative agreements) and that all sub-recipients shall certify and disclose <br />accordingly. <br />This certification is material representation of fact on which reliance was placed when this transaction <br />was made or entered into. Submission of this certification is a prerequisite for making or entering into <br />this transaction imposed by section 1352, Title 31, U.S. Code. Any person who fails to filethe required <br />certification shal] be subject to a civil penalty of not less than $10,000 and not more than $100,000 for <br />each such failure. <br />CITY OF PARIS, A POLITICAL SU IVI N ' THE STATE OF TEXAS, <br />By: <br />K vin Carru <br />City Manager <br />Date: Au ust 1, 2008 <br />HOME Contract # 1000930 <br />Page 21 of 21 <br />- P'' P1 6 <br />